Andrea Jean Carolan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210503 Issued in VA

Practice address

5601 Richmond Rd Ste B
Williamsburg, VA 23188-1995

Phone

(757) 565-6407

Fax

(757) 565-6443

NPI assigned

Aug 15, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andrea Jean Graham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Williamsburg, VA
  • NPI 1508975806
  NPD (past)
• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Grottoes, VA
  • NPI 1982319000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1497034979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 GULICK DR APT C",
            "city": "FORT MONROE",
            "state": "VA",
            "postal_code": "236511333",
            "telephone_number": "803-629-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 RICHMOND RD STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881995",
            "telephone_number": "757-565-6407",
            "fax_number": "757-565-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAN",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GRAHAM",
            "middle_name": "JEAN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cardinal Pediatric Therapy Services PLLC
• Cardiovascular Health PLLC
• Caregivers in-Home Care
• Daniel Steven Carlson, DC
• Carol F. Morgan, DDS, PC
• Barbara Ann Carr, PH.D.
• Daniel Carr
• Laura Carroll
• Diana C Cartagena, NP
• Jeffrey Carter, D.O.

• Pharmacist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.